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DONOR 1
Fullname
01052023_1
Country
United States
Address
Eye Color
Blue
Hair Color
Light Brown
Height
5’10”
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Beauty and hair care, Cooking, Gardening, Keeping pets, Taking care of animals, Watching TV or movies, Working out/exercising, Going to church/temple, Hiking
Anything else would you like to mention about your family medical history to the
Adoptive parent
Allergies -seasonal
Diabetes (type 2) was late onset (in his 60s)
Heart - arrhythmia (in his 60s)
Anything else would you like to mention about your talents,skills,interests
Traveling, hanging out with my family, watching my children’s sports, etc.
DONOR 2
Fullname
01052023_2
Country
United States
Address
Eye Color
Blue
Hair Color
Light Brown
Height
6'3"
Ethnicity
White/Caucasian
Education
Associates degree
Hobbies
Camping, Fishing, Gardening, Going to church/temple, Reading, Hiking, Keeping pets, Taking care of animals, Watching TV or movies, Woodworking, Visiting with friends
Anything else would you like to mention about your family medical history to the
Adoptive parent
hanging out with family, watching kids' sports, etc., etc.
Anything else would you like to mention about your talents,skills,interests
BASIC INORMATION
Full name
01052023_1
01052023_2
Country
United States
United States
Address
Eye color
Blue
Blue
Hair color
Light Brown
Light Brown
Height
5’10”
6'3"
Ethnicity
White/Caucasian
White/Caucasian
Education
Bachelor’s degree
Associates degree
Hobbies
Beauty and hair care, Cooking, Gardening, Keeping pets, Taking care of animals, Watching TV or movies, Working out/exercising, Going to church/temple, Hiking
Camping, Fishing, Gardening, Going to church/temple, Reading, Hiking, Keeping pets, Taking care of animals, Watching TV or movies, Woodworking, Visiting with friends
Anything else would you like to mention about your talents, skills, interests
Traveling, hanging out with my family, watching my children’s sports, etc.
hanging out with family, watching kids' sports, etc., etc.
Anything else would you like to mention about your family medical history to the
adoptive parent
Allergies -seasonal
Diabetes (type 2) was late onset (in his 60s)
Heart - arrhythmia (in his 60s)
Photos
PHOTOS
EMBRYO
How many embryos do you wish to donate
What are the grades of the embryos?
4
pronuclear embryos
Have the embryos been genetically tested
Do you know the gender of the embryos
No
No
Have the embryos from this batch resulted in a life birth
Age of embryos when they were frozen
Yes
3 days
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 20 years ago
Less than 30 years old
Have the embryos from this batch been already donated to another adoptive parent
No
Embryo
MEDICAL HISTORY
DONOR 1
DONOR 2
Allergy
Donor, Donor child, Donor's parent
Donor child
Alzheimer
Anxiety
Asthma
Autism
Bipolar disorder
Cancer
Donor
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor's parent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's parent
Hemochromatosis
High blood pressure
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Substance abuse
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor, Donor child, Donor's parent
Alzheimer
Anxiety
Asthma
Autism
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor's parent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's parent
Hemochromatosis
High blood pressure
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Substance abuse
DONOR 2
allergy
Donor child
alzheimer
anxiety
asthma
autism
bipolar disoder
cancer
Donor
celiac disease
cystic fibrosis
depression
diabetes
epilepsy
fibromyalgia
fragile x syndrome
heart conditions
hemochromatosis
high blood pressure
huntington's disease
lupus
marfan syndrome
multiple sclerosis
obesity
phenylketonuria
polycystic kidney disease
rheumatoid arthritis
schizophrenia
stroke
substance abuse
Information on egg/sperm donor
Letter
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